NUTRITIONAL OUTCOME AND PNEUMONIA IN CRITICAL CARE PATIENTS RANDOMIZED TO GASTRIC VERSUS JEJUNAL TUBE FEEDINGS
NUTRITIONAL OUTCOME AND PNEUMONIA IN CRITICAL CARE PATIENTS RANDOMIZED TO GASTRIC VERSUS JEJUNAL TUBE FEEDINGS
复制标题
DOI：
10.1097/00003246-199210000-00004
复制
发表时间：
1992-10-01
影响因子：
8.8
通讯作者：
CRAVEN, DE
中科院分区：
文献类型：
--
作者：
MONTECALVO, MA;STEGER, KA;CRAVEN, DE
目的：比较ICU患者随机接受胃管喂养与内镜下放置空肠管喂养的患者的营养状况、胃定植和院内肺炎发生率。设计：随机前瞻性研究。设置：波士顿市立医院内科和外科ICU;大学医院外科ICU。患者：在38例研究患者中，19例随机接受胃管喂养，19例随机接受内镜下放置空肠管。两组在年龄、性别、种族、基础疾病和手术类型方面相似。结果：两组患者在进食天数、ICU住院时间、机械通气时间、抗生素治疗天数和发热天数方面相似。与胃管组相比，空肠管组入院时发生循环休克的患者较多（79% vs. 68.4%），入院急性生理学评分较高（24.0 vs. 21.7），随机化时发生肺炎的患者较少空肠组每日目标热量摄入的百分比显著高于空肠组（p = 0.05），血清前白蛋白浓度增加更大（p
Objective: To compare nutritional status, gastric colonization, and rates of nosocomial pneumonia in ICU patients randomized to gastric tube feeding vs. patients fed by an endoscopically placed jejunal tube.Design: Randomized, prospective study.Setting: Medical and surgical ICUs at Boston City Hospital; surgical ICU at University Hospital.Patients: Of the 38 study patients, 19 were randomized to gastric tube feeding and 19 were randomized to an endoscopically placed jejunal tube. The two groups were similar in age, sex, race, underlying disease, and type of surgery.Results: The two patient groups were similar in number of days fed, duration of ICU stay, duration of mechanical ventilation, days of antibiotic therapy, and days with fever. Compared with the gastric group, the jejunal group had more patients with circulatory shock on admission (79% vs. 68.4%), higher admission Acute Physiology Score (24.0 vs. 21.7), and fewer patients with pneumonia at randomization (26.3% vs. 31.6%).The jejunal group received a significantly higher percentage of their daily goal caloric intake (p = .05), and had greater increases in serum prealbumin concentrations (p